Cerebral sinus thrombosis with intracerebral hemorrhage in pregnancy: A case report

Hung Shih Lin, Jui Feng Lin, Cheng Kuei Chang, Cheng Chia Tsai, Shiu Jau Chen

Research output: Contribution to journalArticlepeer-review

7 Citations (Scopus)

Abstract

A 29-year-old woman who was pregnant for 12 weeks presented with headache for one week and drowsiness for two days. Computed tomography of the brain revealed multifocal hematomas with mass effect. Decompressive craniectomy was done to relieve the increased intracranial pressure. Magnetic resonance angiography and cerebral angiography were subsequently performed, both demonstrating thrombosis of the left transverse sinus. Treatment of sinus thrombosis generally includes correction of increased intracranial pressure and administration of anticoagulants, such as heparin. However, in this case heparin was contraindicated for the presence of intracranial bleeding, a clinical dilemma that requires careful considerations to balance treatment risks and benefits.

Original languageEnglish
Pages (from-to)189-193
Number of pages5
JournalActa Neurologica Taiwanica
Volume17
Issue number3
Publication statusPublished - Sep 2008

Keywords

  • Cerebral sinus thrombosis
  • Craniectomy
  • Increased intracranial pressure
  • Pregnancy
  • Transverse sinus

ASJC Scopus subject areas

  • Clinical Neurology
  • Neurology

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